IndividualActive
Mary Jackson, MD
NPI 1609851443 · Family Medicine Physician · Manlius, NY
Mary Jackson, MD is a Family Medicine Physician provider in Manlius, NY (NPI 1609851443).
Provider details
- NPI number
- 1609851443
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 154924 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
308 W Seneca St
Manlius, NY 13104-2318
Phone: (315) 682-5080
Fax: (315) 682-8847
Street-level locationGet directions
Mailing address
1001 W Fayette St
Syracuse, NY 13204-2859
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2009-06-08
Frequently asked questions
- What is Mary Jackson's NPI number?
- Mary Jackson's National Provider Identifier (NPI) is 1609851443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Jackson's specialty?
- Mary Jackson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Jackson located?
- Mary Jackson's practice location on file with NPPES is 308 W Seneca St, Manlius, NY 13104-2318.
- What is Mary Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mary Jackson is (315) 682-5080.
- Is Mary Jackson's NPI active?
- Yes — Mary Jackson's NPI (1609851443) is active in the NPPES registry as of the last update on 2009-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.